Yaitali culturing ya mazira mu m'galasi. Kulima gametes ndi mazira - ndichiyani?

Kwa zaka zoposa makumi awiri mu mabanja amene ali ndi mavuto ndi mimba ndi kubadwa kwa mwana, anali ndi mwayi mu mawonekedwe a mu m'galasi umuna pulogalamu. Kumene, pa mphindi ndi ndithu ndondomeko mtengo chifukwa cha zomwe si nthawi zonse kukumana zoyembezereka za odwala, koma ndi mwayi kwa anthu amene akufuna kuti mwana wawo osiyana. Ndisanaumbidwe chikhalidwe chizathandiza kusankha okha kwambiri yotheka, komanso kuthetsa matenda ena chibadwa.

terminology

Mu umuna m'galasi - ndi malangizo a sayansi ubereki, imene imakhudza umuna wa dzira kunja chiberekero mayi ndi mwana wosabadwayo podsazhivaniya wokonzeka kwa masiku asanu ndi aŵiri.

Kulima mazira - ndi kuthandiza chitukuko ndi moyo wa mazira anthu pamaso Kudzalanso iwo chiberekero.

magawo a lidzawagwiritsenso

Lidzawagwiritsenso ndondomeko tichipeza zinthu zingapo kapena mbali:
1. kukondoweza kwa superovulation, mu kufanana ndi kuwunika follicle chiyambi ndi kukula kwa endometrium lapansi.
2. Follicle puncture.
3. oocyte umuna mu m'galasi ndi culturing mazira.
4. Amapanga kukhala gawo luteal a kuzungulira kusamba.
5. Ndisanaumbidwe kumezetsanitsa ndi matenda a mimba.

Kwa atsikana mwayi lidzawagwiritsenso popanda superovulation.

Zizindikiro ndi contraindications kwa lidzawagwiritsenso

Malangizo kwa mpheto izi mankhwala pamaso pa osabereka mkazi kugonjetsedwa ndi mankhwala ochiritsira, malinga lidzawagwiritsenso amapereka Mwina apamwamba mimba.

Contraindications nzofanana:
- extragenital kudwala, kuopseza mimba;
- malformations ndi deformations la chiberekero;
- zotupa la chiberekero ndi thumba losunga mazira;
- matenda pachimake yotupa (osati ziwalo zoberekera);
- kukhalapo kwa khansara mu mbiri.

Kukonzekera lidzawagwiritsenso

Gawo loyamba - mndandanda wa kusanthula ndi kudziwika pathologies. Kuti tichite zimenezi, wodwala ayenera mayeso magazi mahomoni, komanso nkhani zolembedwa za sayansi ambiri ndi tollerantnost shuga. Anachita khama chifukwa pa matenda urogenital ndi ultrasound a ziwalo zoberekera.

Mnzanga ndidzakulangiza ndi kusanthula umuna kuti atsimikizire pakalibe osabereka wamwamuna. Kwenikweni kutenga kuipitsa mbiri cytology ndi colposcopy kuti achotse chikhalidwe chisanadze khansa. Mayi woyembekezera akuchititsa phunziro la muuni matenda (chikuku, toxoplasmosis, nsungu, cytomegalovirus ndi chlamydia), ngati izi zingakhudze chitukuko tsogolo la mwana wosabadwayo. Kumapeto kwa ultrasound jambulani wa zopangitsa za mammary ndi chithokomiro.

Sitepe yachiwiri ikuchitika asanalankhule chithandizo. Amakhala ndi mfundo zitatu:
- okwatirana ayenera mayeso kwa HIV, tizilombo matenda a chiwindi, chindoko, kupeza zotsatira za gulu lawo magazi ndi RH Chinthu;
- Women ziyenera kuyesedwa kwa shuga m'magazi, wathunthu magazi okwanira, mkodzo, sayansi komanso kudziwa nthawi ya coagulation;
- mayi woyembekezera ayenera anamaliza ndikuphunzitsidwa kuti palibe contraindications mimba.

Ndondomeko ya lidzawagwiritsenso

Choyamba dokotala, pambuyo mayesero zonse zofunikira, amachititsa yamchiberekero kukondoweza mkazi kuti mazira kwambiri wathanzi. Mawu oyamba a mankhwala kumayamba tsiku 21 kuzungulira kusamba, ndi kumatenga mwezi umodzi. Panthawi imeneyi, dokotala mosalekeza oyang'anira, monga follicle kukula ndipo anamanga endometrium mu chiberekero ntchito ultrasound. Ndipo ngati mkazi watenga kusanthula pa mahomoni, kuti kuona chithunzi chonse. Atangomva dzira zimapsa, outpatient ndondomeko ikuchitika achire awo. Komabe, ndondomeko izi zingathandize zina:
- analephera kuwayankha yamchiberekero kuti kukondoweza;
- pamaso pa adhesions mu M'mimbamo m'chiuno;
- ovulation msanga;
- anovulatory mkombero (pamene follicles okhwima muli dzira). mbali onsewa ayenera kuganizira asanayambe kulimbikitsa awiri kuyamba lidzawagwiritsenso.

Mwamsanga pamene bambo m'tsogolo kapena mwiniwake anonymous ndidzadutsa mfundozo majini angathe kuchitidwa umuna ndondomeko. Pomalizira mu chikhalidwe m'galasi ya mazira m'pofunika kusankha mazira ambiri yotheka. Patapita masiku asanu kapena asanu ubwamuna mazira ingapo anasamutsa mu m'mimba m'mimba mwa mayi. Patapita milungu iwiri, mayi woyembekezerayo donates magazi pa mlingo wa chorionic anthu gonadotropin (HCG) kudziwa mimba.

Yaitali kulima mazira

Nthawi zambiri, Odwala amene matendawa ngati thandizo yeniyeni zachipatala, pali mafunso ambiri. Mmodzi wa iwo ukupita ngati izi: "chikhalidwe cha gametes ndi mazira, ndichiyani?" Yankho ndi wosavuta ndiponso zovuta nthawi yomweyo. Izi ndi njira imene mwana wosabadwayo ndi moyo kwa malo ake mu thupi la mayi. Yaitali kulima mazira mu m'galasi ndondomeko mtengo, zina zamakono kuti amafuna kudziwa zenizeni ndi luso. Laboratories masiku ano zonse zilibwino mu njira ya umuna ndi zida. The luso atsopano - kulima mazira chilengedwe EmbrioGen. zinthu kukula zina kupereka Mwina mkulu wa mwana wosabadwayo implantation mpanda uterine.

Poyamba, kulima mazira anapereka kuuka kokha siteji onongani ndipo anaikidwa chiberekero ali masiku atatu pambuyo "lingaliro", koma iwo mizu yekha kotala milandu onse lidzawagwiritsenso. Koma pambuyo osauka njira mu m'galasi chikhalidwe cha mazira kuti siteji blastocyst, mphamvu ya njira chawonjezeka. Mwambowu latsopano TV chikhalidwe ndi zoutamira.

Ubwino ndi kuipa kwa ndondomeko

Chotero ndondomeko ndi kusonyeza chikhalidwe cha mazira mlingo lotsatira.

1. Izi zimathandiza kusankha kwambiri zingamuthandize mawu a mazira implantation.
2. Amachepetsa chiwerengero cha kuvutika chromosomal, monga siteji blastocyst n'zotheka tifufuza ndi kuteteza.
3. Iwo ali njira zambiri zokhudza thupi.
4. Amachepetsa chiopsezo cha mimba angapo, chifukwa ndatopa mazira awiri basi m'malo asanu, monga kale, kukhala ndi pakati.
5. mimba Ectopic amapezeka nthawi zochepa kuposa kale.

Komabe, pali kuipa njirayi. Woyamba si mtima onse akhoza kukula kwa gawo wolakalakika. Komabe chofungatira dongosolo komanso atolankhani chikhalidwe ayenera kusintha, mwapafupi monga zotheka kuti zinthu zachilengedwe. Ngati mazira zosakwana zinayi anayimangako, ndiye n'kutheka kuti iwo adzakhale okonzeka Kudzalanso, ndi yaing'ono kwambiri. Wina opanda, monga Mabaibulo wakale lidzawagwiritsenso - sizitanthauza mtheradi wa kupambana. Palibe dongosolo dokotala-ubereki mu dziko ayambe kunena kuti njira imeneyi ndi choonadi mtheradi. Asayansi ndi kuyesetsa kuti.

Zotsatira zoyipa za lidzawagwiritsenso

mavuto pambuyo lidzawagwiritsenso, mu nthawi, imene ntchito kwa nthawi yaitali mazira ndi:
- mimba angapo mazira monga angapo anasamutsa mu m'mimba;
- mimba ectopic (kayendedwe sangathe lilibe Ndisanaumbidwe mwa chiberekero);
- kwambiri kukondoweza kwa thumba losunga mazira ndi (yamchiberekero hyperstimulation syndrome kumabweretsa osabereka);
- matenda ndi magazi.